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Individual

BYRON D GATLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
(509) 665-2317

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
42504
MN
207V00000X
Obstetrics & Gynecology Physician
Primary
MD00033331
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1972605293
WA
01
265682
L&I
WA
01
315939
L&I POST 7/21/13
WA
01
P01256403
RR MEDICARE
WA
Enumeration date
09/05/2006
Last updated
02/17/2014
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